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CTRI Number  CTRI/2020/04/024531 [Registered on: 08/04/2020] Trial Registered Prospectively
Last Modified On: 08/04/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Preventive 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical study to compare the results of Shaivaladya Ghrita and Yashtimadhu Ghrita in the patients suffuring from Acute Fissure in Ano (A tear in anal canal)  
Scientific Title of Study   A Comparative Clinical Trial of Shaivaladya Ghrita and Yashtimadhu Ghrita Application in the Management of Parikartika W.S.R. to Acute Fissure-in-Ano  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shubham khare 
Designation  PG-Scholar 
Affiliation  Parul institute of ayurveda 
Address  Parul institute of ayurveda department of shalya tantra 4th floor room no 403 parul university limda vadodara gujrat

Vadodara
GUJARAT
391760
India 
Phone  9424422043  
Fax  0  
Email  skhare1112@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrParikshit shirode 
Designation  Professor 
Affiliation  Parul institute of ayurveda 
Address  Parul institute of ayurveda department of shalya tantra 4th floor room no 403 parul university limda vadodara gujrat

Vadodara
GUJARAT
391760
India 
Phone  9960063588  
Fax    
Email  parikshit.shirode260038@paruluniversity.ac.in  
 
Details of Contact Person
Public Query
 
Name  DrParikshit shirode 
Designation  Professor 
Affiliation  Parul institute of ayurveda 
Address  Parul institute of ayurveda department of shalya tantra 4th floor room no 403 parul university limda vadodara gujrat

Vadodara
GUJARAT
391760
India 
Phone  9960063588  
Fax    
Email  parikshit.shirode260038@paruluniversity.ac.in  
 
Source of Monetary or Material Support  
Parul institute of ayurveda parul university limda vadodara 
 
Primary Sponsor  
Name  Parul institute of ayurveda 
Address  Parul institute of ayurveda parul university po limda Vadodara 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr shubham khare  Parul ayurved hospital  Ground floor OPD no, 116 department of shalyatantra parul ayurved hospital po limda vadodara
Vadodara
GUJARAT 
9424422043

skhare1112@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee for human research, Parul institute of ayurveda, Parul university  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: K928||Other specified diseases of the digestive system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Shaivaladya Ghrita application in Acute Fissure in Ano  • Duration of Treatment: Shaivaladya Ghrita will be applied for 10 days. Dose: Shaivaladya Ghrita will be applied twice a day. Each sitting will contain 05 ml of Shaivaladya Ghrita which will be pushed in anus with the help of syringe and catheter . Follow up And Observation period: The patients will be observed and assessed on 1st, 3rd, 5th, 7th and 10th day. Follow up of the patient will be carried out on the 15th & 30th day.  
Comparator Agent  Yashtimadhu Ghrita application in Acute Fissure in Ano  Duration of Treatment: Yashthimadhu Ghrita will be applied for 10 days. Dose: Yashthimadhu Ghrita will be applied twice a day. Each sitting will contain 05 ml of Yashthimadhu Ghrita which will be puished in anus with the help of syringe and catheter. Follow up And Observation period: The patients will be observed and assessed on 1st, 3rd, 5th, 7th and 10th day. Follow up of the patient will be carried out on the 15th and 30th day. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Patients suffering from Parikartika (Acute fissure-in-ano) with symptoms of Painful defecation, burning sensation, bleeding per rectum i.e. stools streaked with blood, constipation, spasm of the sphincter.
2. Patient having solitary and multiple anal fissures.
3. Pregnant women and Post partum patients.
4. Patient within the age group of 18 to 70 years of age.
5. Patients will be selected irrespective of cast and religion, gender, habitat, occupation and socio- economic status. 
 
ExclusionCriteria 
Details  1. Chronic fissure-in-ano.
2. Patients having parikartika (Fissure-in-Ano) secondary to known case of Ulcerative colitis, Crohn’s disease, Syphilis and Tuberculosis, Malignancy will be excluded. 3. Patient below 18 years of age.
4. Patient with infective wound at anal region. 5. HIV and hepatitis B.
6. Uncontrolled diabetes mellitus  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Shaivaladya Ghrita will be more effective than Yashtimadhu Ghrita in the management of parikartika in 10 days in Indian Population   Shaivaladya Ghrita will be more effective than Yashtimadhu Ghrita in the management of parikartika in 10 Days in Indian Population 
 
Secondary Outcome  
Outcome  TimePoints 
nill  nill 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   17/04/2020 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   none yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

1. Parikartika(Fissure-in-ano) is the commonest anorectal condition seen in the day-to-day practice. Recent statistics reveals that more than 80% of population suffers from this disease. In this condition the Constipation and Mandagni are the prime causative factors

2.Acharya Dalhana has described the parikartika as a condition in which there is cutting and tearing pain in Guda. The factors responsible for causation of Parikartika as found in various texts are Vamana-Virechana-Vyapada, Bastikarma Vyapada, Atisara, Grahani, Arsha, Udavarta etc. 

3.The common causes for Fissure-in-Ano are trauma to the anal canal due to hard stool and spasm of internal sphincter. The disease is also secondary to systemic conditions like ulcerative colitis, Crohn’s disease, tuberculosis, etc. The disease also manifests as a delayed complication of surgical procedures like Haemorrhoidectomy and Fistulectomy.

4. In present modern science many treatment modalities are available, but all are temporarily effective, and with less or more side effects. 

5.So the Shaivaladya Ghrita is selected for the clinical trial in the management of Parikartika (Acute fissure-in-Ano) to find fast, soothing, long term and fruitful remedy.   

 
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